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ENDOSCOPIC RESECTION FOR EARLY GASTRIC CANCER AND FUTURE EXPECTATIONS
Author(s) -
Hamanaka Hisanao,
Gotoda Takuji
Publication year - 2005
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2005.00545.x
Subject(s) - medicine , submucosa , endoscopic mucosal resection , gastrectomy , general surgery , cancer , pathological , resection , lymph node metastasis , lymph node , stage (stratigraphy) , endoscopic treatment , surgery , intensive care medicine , metastasis , endoscopy , paleontology , biology
Considering the risks of surgery and the patient's poor quality of life after gastrectomy, it is sensible to offer endoscopic resection for the patients without risk of lymph node metastasis. Endoscopic resection (ER) of early gastric cancer (EGC) is now standard therapy in Japan and is increasingly becoming accepted and regularly used in other countries. The indications, techniques, and pathological assessment methods of ER in the treatment of EGC are demanding and require the endoscopist to follow them closely in order to ensure successful outcomes. New developments in ER techniques to dissect the submucosa directly, called ESD, allow resections of larger lesions in en‐bloc, although long‐term outcome data are currently still in progress. The purposes of the present review are to introduce ER methods for carrying out proper treatment and to describe future expectations.